title: Safety and feasibility of elective minimally invasive video-assisted central neck dissection for thyroid carcinoma.
abstract: BACKGROUND
  Minimally invasive video-assisted thyroidectomy (MIVAT) is accepted as treatment for select patients with thyroid carcinoma. We report both benefits and limitations of elective central neck dissection performed with the MIVAT technique.
  
  
  METHODS
  Patients undergoing elective central neck dissection with MIVAT during November 2006 to October 2009 were studied retrospectively. Outcomes included complications and recurrence rates.
  
  
  RESULTS
  In all, 28 patients were studied. There were no recurrences, with median follow-up of 14 months. Eleven patients (39%) had positive central lymph nodes for metastases. No permanent hypocalcemia resulted, although 3 patients (10.7%) experienced transient hypocalcemia on postoperative day 1 (Ca <8 mg/dL). No permanent hypoparathyroidism resulted, although 7 patients (25%) had transient hypoparathyroidism (postanesthesia care unit parathyroid hormone [PTH] <8 mg/dL) treated with short-term supplementation. Transient recurrent laryngeal nerve paresis occurred in 1 patient (3.6%). At the most recent check, 91% of patients had low/undetectable (<1 ng/mL) thyroglobulin.
  
  
  CONCLUSIONS
  Elective central neck dissection performed with MIVAT is a safe and feasible procedure in our institutional experience.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA. neidicmj@ucmail.uc.edu
authors.forename: Marci J
authors.initials: MJ
authors.lastname: Neidich
authors.forename: David L
authors.initials: DL
authors.lastname: Steward
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D017558:Elective Surgical Procedures; D005240:Feasibility Studies; D005260:Female; D050031:Hashimoto Disease / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy; D016896:Treatment Outcome; D020535:Video-Assisted Surgery